( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Waleed Mohammad Awwad, Khalid Murrad, *Rohail Mumtaz and Sultan Ayoub Meo


Introduction: Due to the increased complexity of spinal procedures performed to correct the deformities, there is a likelihood of more blood loss with most spinal procedures, which leads surgeons to devise some strategies to reduce the blood loss. The evidence from various studies reveals that different pharmacological and non-pharmacological strategies could be used to reduce blood loss among these adolescent patients. We aimed to review and synthesize the available literature on various techniques to reduce blood loss among such patients. Methods: We carried out an electronic search in Google Scholar and PubMed. We considered a study eligible if it was an original research study, published in English from 2010 to 2020, and had provided information on the various techniques and strategies to reduce blood loss during and after spinal surgery. Results: This review provided novel insights into the efficacy and safety of various pharmacological and non-pharmacological techniques in reducing blood loss perioperatively. We found pharmacological methods such as PEAK Plasmablade, use of tranexamic acid regardless of its dosage and modes of administration, blood transfusion, and non-pharmacological techniques such as preservation of spinous process, having two surgeons performing the surgery instead of one, screening of anemia before surgery, and a technique known as minimally invasive scoliosis surgery can reduce the perioperative complications, mainly blood loss, among patients indicating posterior spinal fusion surgery due to idiopathic scoliosis among adolescents. Conclusion: The findings of the review reveal that there is the benefit of using both non-pharmacological and pharmacological techniques to reduce blood loss. A comprehensive strategy with an interdisciplinary and multi-pronged approach is required to reduce blood loss during and after the spinal surgeries performed for deformities among adolescents.

Keywords: Spinal surgery, deformity, strategies to reduce blood loss, Narrative review.

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  • EJPMR New Impact Factor

    EJPMR Impact Factor has been Increased to 7.065 for Year 2024.


    FEBRUARY 2024 issue has been successfully launched on 1 FEBRUARY 2024.

  • New Issue Published

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  • Index Copernicus Value

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia